Mccormack, Kevin

Mccormack, Kevin is an individual health care provider with primary practice located at 2001 Webber St , Sarasota FL 34239-5288. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Mccormack, Kevin can be contacted via phone (941) 362-8900.

Contact Information

Primary practice address
2001 Webber St Sarasota FL 34239-5288
Phone: (941) 362-8900
Fax: (941) 362-8987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X ME50801 Florida
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME50801 Florida

Profile Details

NPI number 1598766917
LBN Legal business name Mccormack, Kevin
Credentials M.D., PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Feb 3rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598766917 NPPES
Florida MEDICAID 372523500
Florida Other 10753

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